Individual
DR. CRAIG A KEATHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10864 TEXAS HEALTH TRL, FORT WORTH, TX 76244-4897
(682) 212-2000
Mailing address
PO BOX 100966, FORT WORTH, TX 76185-0966
(817) 927-2222
(817) 927-2222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L8577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167338601
—
TX
05
—
167338603
—
TX
05
—
167338604
—
TX
05
—
167338605
—
TX
Enumeration date
02/15/2006
Last updated
09/26/2023
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